Provider Demographics
NPI:1225693377
Name:TWO NURSES TRANSPORTATION SERVICE
Entity Type:Organization
Organization Name:TWO NURSES TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:937-559-0972
Mailing Address - Street 1:5908 CORSICA DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3509
Mailing Address - Country:US
Mailing Address - Phone:937-559-0972
Mailing Address - Fax:
Practice Address - Street 1:6040 LEYCROSS DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3567
Practice Address - Country:US
Practice Address - Phone:937-321-3178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAID NURSE PROVIDER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0072683Medicaid
OH3129082Medicaid